ECE2015 Eposter Presentations Diabetes (complications & therapy) (143 abstracts)
Relation between psychiatric symptoms and diabetic complications: preliminary results
Dilek Tuzun 1 , Emine Duygu Ersozlu Bozkirli 2 , Ayten Oguz 1 , Murat Sahin 1 , Tugba Yilmaz 3 , Berivan Ganidagli 3 , Omer Faruk Akgul 3 & Kamile Gul 1
1Department of Endocrinology and Metabolism, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey; 2Division of Rheumatology, Adana Numune Training and Research Hospital, Adana, Turkey; 3Department of Internal Medicine, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Aim: In this study, we aimed to assess psychiatric symptoms in 1000 type 2 diabetes mellitus (T2DM) patients.
Material and methods: 297 patients (mean age 52.13±9.37 years, 190 women and 107 men) who had T2DM were included as a preliminary in this study. The presence of cheiroarthropathy, Dupuytren’s contracture, tinnel sign, and tendinitis was assessed. Diabetic retinopathy was assessed by direct ophthalmoscopy. Urinary albumin excretion was determined in at least two 24 h urine samples. Beck’s Depression Inventory (BDI) and Beck’s Anxiety Inventory (BAI) were administered.
Results: The mean diabetic duration was 7.71±6.28 years. Dupuytren’s contracture was present in 7.7%, cheiroarthropathy in 11.1%, tinnel sign in 19.5%, and tendinitis in 4.4%. Retinopathy was present in 15.5%, nephropathy in 18.2%. BDI score was 13.92±9.93 and BAI score was 16.89±13.63. There was positive correlation between BDI score and diabetic nephropathy (P=0.001, r=197). Also, there was positive correlation between BDI score and tinnel sign (P=0.000, r=241). Positive correlation between BAI score and diabetic nephropathy was detected (P=0.019, r=136). There was positive correlation between BAI score and tinnel sign (P=0.00, r=232). The suggested BDI cutoff of ≥17 had 81% sensitivity and 79% specificity and classified as clinically depressed. In our study BDI score ≥17 was 33.3%. BAI score ≥17 was classified as moderate and serious anxious. In our study BAI score ≥17 was 40.4%.
Conclusions: Psychiatric symptoms, especially depression and anxiety, are widely seen in patients with diabetes mellitus. Quality of life and disability are correlated with depression and anxiety levels. Therefore, in addition to the recent management of DM, psychiatric symptoms such as depressed mood and anxiety should also be taken into consideration in order to increase the quality of life in DM patients.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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